PROACTIVE HEALTH SERVICES LLC
NPI 1972333946
Nurse Practitioner - Family in Nottingham, MD

Active since August 05, 2024
9712 BELAIR RD STE 301-301A, NOTTINGHAM, MD 21236(443) 902-6314 Get Directions Write a Review

NPPES record last updated: August 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Proactive Health Services Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROACTIVE HEALTH SERVICES LLC (NPI 1972333946) is a healthcare organization registered as a family in Nottingham, Maryland and active in the NPI registry since August 2024. The organization lists Susan Saina Stubbs, Np, as its authorized official.

NPPES Registry Identity

NPI1972333946
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NamePROACTIVE HEALTH SERVICES LLC
Location Address9712 BELAIR RD STE 301-301ANottingham, MD 21236-1103
Mailing Address9712 Belair Rd Ste 301-301aNottingham, MD 21236-1103 · (443) 902-6314
Organization SubpartNo
Authorized OfficialSusan Saina StubbsNp · (443) 902-6314
Enumeration DateAugust 5, 2024
NPPES CertifiedAugust 5, 2024
✔ NPI 1972333946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
9712 BELAIR RD STE 301-301A, Nottingham, MD 21236

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Proactive Health Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Proactive Health Services LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1710472527
954 FORREST ST
Baltimore, MD 21202
(410) 230-1542
✔ PECOS11 mi
Nurse Practitioner
NPI 1952845810
38425 CROSSPOINTE CMN
Fremont, CA 94536
(410) 710-7072
✔ PECOS✔ Accepts Medicare2,444 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Proactive Health Services LLC's NPI number?

The NPI number for Proactive Health Services LLC is 1972333946. It was assigned to this organization in the NPPES registry on August 5, 2024.

Where is Proactive Health Services LLC located?

Proactive Health Services LLC is located at 9712 Belair Rd Ste 301-301a, Nottingham, MD 21236. The listed phone number is (443) 902-6314.

What is Proactive Health Services LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Proactive Health Services LLC enrolled in Medicare?

Yes. Proactive Health Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Proactive Health Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Proactive Health Services LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Proactive Health Services LLC was last updated on August 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.